齐鲁护理杂志
齊魯護理雜誌
제로호리잡지
JOURNAL OF QILU NURSING
2015年
9期
10-12
,共3页
临床康复护理路径%慢性阻塞性肺疾病%肺功能%生活质量
臨床康複護理路徑%慢性阻塞性肺疾病%肺功能%生活質量
림상강복호리로경%만성조새성폐질병%폐공능%생활질량
CNP%COPD%Pulmonary function%Quality of life
目的：探讨临床护理路径（CNP）对社区慢性阻塞性肺疾病（COPD）患者病情和生活质量的影响。方法：选择出院返回社区的 COPD 患者400例随机分为干预组和对照组各200例，干预组患者接受 CNP 护理，对照组患者接受常规社区护理；护理前后测量两组患者的肺功能指标，包括1 s 用力呼气容积（FEV1）、用力肺活量（FVC）和最大呼气流速（PEF）、监测患者的体质指数（BMI）、6 min 步行距离试验（6MWT），利用 COPD 评估测试（CAT）评分评估患者生活质量，并在护理结束后进行满意度调查。结果：护理后，干预组 FEV1、FVC 和 PEF 与对照组比较差异具有统计学意义（P ＜0.05），干预组 BMI 和6MWT 明显高于对照组（P＜0.05，P ＜0.01），而 CAT 得分明显低于对照组（P ＜0.01）；干预组护理满意度明显高于对照组（P ＜0.01）。结论：CNP 能有效改善社区 COPD 患者的肺功能，提升生活质量和身体健康水平，有助于促进患者康复。
目的：探討臨床護理路徑（CNP）對社區慢性阻塞性肺疾病（COPD）患者病情和生活質量的影響。方法：選擇齣院返迴社區的 COPD 患者400例隨機分為榦預組和對照組各200例，榦預組患者接受 CNP 護理，對照組患者接受常規社區護理；護理前後測量兩組患者的肺功能指標，包括1 s 用力呼氣容積（FEV1）、用力肺活量（FVC）和最大呼氣流速（PEF）、鑑測患者的體質指數（BMI）、6 min 步行距離試驗（6MWT），利用 COPD 評估測試（CAT）評分評估患者生活質量，併在護理結束後進行滿意度調查。結果：護理後，榦預組 FEV1、FVC 和 PEF 與對照組比較差異具有統計學意義（P ＜0.05），榦預組 BMI 和6MWT 明顯高于對照組（P＜0.05，P ＜0.01），而 CAT 得分明顯低于對照組（P ＜0.01）；榦預組護理滿意度明顯高于對照組（P ＜0.01）。結論：CNP 能有效改善社區 COPD 患者的肺功能，提升生活質量和身體健康水平，有助于促進患者康複。
목적：탐토림상호리로경（CNP）대사구만성조새성폐질병（COPD）환자병정화생활질량적영향。방법：선택출원반회사구적 COPD 환자400례수궤분위간예조화대조조각200례，간예조환자접수 CNP 호리，대조조환자접수상규사구호리；호리전후측량량조환자적폐공능지표，포괄1 s 용력호기용적（FEV1）、용력폐활량（FVC）화최대호기류속（PEF）、감측환자적체질지수（BMI）、6 min 보행거리시험（6MWT），이용 COPD 평고측시（CAT）평분평고환자생활질량，병재호리결속후진행만의도조사。결과：호리후，간예조 FEV1、FVC 화 PEF 여대조조비교차이구유통계학의의（P ＜0.05），간예조 BMI 화6MWT 명현고우대조조（P＜0.05，P ＜0.01），이 CAT 득분명현저우대조조（P ＜0.01）；간예조호리만의도명현고우대조조（P ＜0.01）。결론：CNP 능유효개선사구 COPD 환자적폐공능，제승생활질량화신체건강수평，유조우촉진환자강복。
Objective:To investigate the effect of clinical nursing path(CNP)on the conditions and quality of life of patients with chro-nic obstructive pulmonary disease(COPD). Methods:400 COPD patients who returned to community after discharge were randomly divided into the intervention group and the control group(200 cases in each group). The patients in the intervention group received nursing care of CNP and the patients in the control group were given routine nursing care in community. The indexes of patient's lung function were meas-ured including FEV1,FVC,PEF and BMI,6MWT were monitored,the quality of life of the patients was evaluated by using CAT before and after the nursing care,and the satisfaction rate was surveyed after nursing care. Results:There were statistically significant differences in the comparison of FEV1,FVC and PEF between the two groups after nursing care(P < 0. 05);BMI and 6MWT in the intervention group was significantly higher than the control group(P < 0. 05,P < 0. 01);the CAT score was significantly lower than the control group(P < 0. 01);the satisfaction rate of nursing care was significantly higher in the intervention group than the control group(P < 0. 01). Conclusion:Nursing care of CNP can effectively improve the lung function of COPD patients in community and improve their quality of life and health level.
